Individual provider Active NPI

Margaret Ann Riedl, RD LD CDE

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1104158674
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
528673
Practice address
5701 W Charleston Blvd Ste 100
Las Vegas, NV 89146-1256
Phone
(702) 877-9514
Fax
(702) 312-3510
NPI assigned
Feb 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 528673 Primary

Addresses

Primary practice location

5701 W Charleston Blvd Ste 100
Las Vegas, NV 89146-1256

Mailing address

2525 Luberon Dr
Henderson, NV 89044-0361
Phone (702) 239-2156

Other identifiers 3

IdentifierTypeStateIssuer
31996DI-0OtherNVSTATE OF NV LICENSURE
528673OtherREGISTERED DIETITIAN
0922-4425OtherCERTIFIED DIABETES EDUCATOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rd Prabhu-Lata K Shete MDS LTD CurrentSince Dec 1, 2020 Accepting new patients
Rd Prabhu-Lata K Shete MDS LTD CurrentSince Dec 1, 2020 Accepting new patients
Rd Prabhu-Lata K Shete MDS LTD Current Accepting new patients

Locations

5701 W Charleston Blvd
Ste 100
Las Vegas, NV 89146
Phone (702) 877-9514

1905 Civic Center Dr
North Las Vegas, NV 89030
Phone (702) 475-8874

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1104158674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 LUBERON DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440361",
            "telephone_number": "702-239-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461256",
            "telephone_number": "702-877-9514",
            "fax_number": "702-312-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDL",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "credential": "RD LD CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "528673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NV LICENSURE",
            "identifier": "31996DI-0",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "528673",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED DIABETES EDUCATOR",
            "identifier": "0922-4425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.